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Plastic and Reconstructive Surgery of the Face: Chances and Challenges
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Plastic and Reconstructive Surgery of the Face: Chances and Challenges

A Special Issue of Journal of Clinical Medicine (ISSN 2077-0383) belonging to the section "Plastic, Reconstructive and Aesthetic Surgery/Aesthetic Medicine".

Deadline for manuscript submissions: closed (20 June 2026) | Viewed by 2353

Editors

Dr. Cristian Trâmbițaș

E-Mail Website
Guest Editor
Faculty of Medicine, “George Emil Palade” University of Medicine, Pharmacy, Sciences and Technology, 540142 Targu Mures, Romania
Interests: plastic surgery; hand surgery; esthetic surgery; peripheral nerve regeneration; hyaluronic acid; burns; orthopedic surgery; biology; anatomy; orthopedics; tissue regeneration
Dr. Bogdan Andrei Suciu

E-Mail Website
Guest Editor
Faculty of Medicine, “George Emil Palade” University of Medicine, Pharmacy, Sciences and Technology, 540142 Targu Mures, Romania
Interests: anatomy; general surgery; thoracic surgery; tissue regeneration; biology

Special Issue Information

Dear Colleagues,

We are pleased to announce a Special Issue dedicated to exploring the innovations and current challenges in facial plastic and reconstructive surgery. This issue aims to highlight the opportunities and challenges within this dynamic field, including innovative techniques, and the evolving landscape of patient care.

The current research in this field showcases the utilization of advanced imaging techniques, microsurgical precision, and tailored procedures to optimize outcomes. Yet, the field is still grappling with clinical complexities, such as achieving the perfect balance between personalization and maintaining safety and effectiveness.

We invite for submission original research articles and reviews on the following themes:

  • Recent advancements and technological innovations in facial plastic surgery;
  • Challenges in surgical techniques and outcomes;
  • Psychological and social implications of facial reconstructive procedures;
  • Patient safety and postoperative care;
  • Interdisciplinary approaches to facial reconstruction;
  • Minimally invasive procedures for facial treatments.

We invite clinicians, surgeons, and clinical researchers to contribute their original research and insights to advance our collective understanding of individualized plastic reconstructive surgery.

Dr. Cristian Trâmbițaș
Dr. Bogdan Andrei Suciu
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 250 words) can be sent to the Editorial Office for assessment.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-anonymized peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • facial plastic surgery
  • facial reconstruction procedures
  • tissue regeneration
  • esthetic facial procedures
  • digital imaging and customization
  • biomaterials in reconstructive surgery
  • flap surgery innovations
  • microsurgical precision techniques

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Further information on MDPI's Special Issue policies can be found here.

Published Papers (2 papers)

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Research

10 pages, 1192 KB  
Article
Objective Auricular Measurements and Patient Satisfaction Following Cartilage-Cutting Otoplasty Using Fascioperichondrial Flaps
by Timea Madaras, Mara Bărăbancia-Romete, Ruxandra Bodog, Horațiu-Paul Domnariu, Klara Brânzaniuc, Leonard Azamfirei, Bogdan-Andrei Suciu and Cristian Trâmbițaș
J. Clin. Med. 2026, 15(10), 3795; https://doi.org/10.3390/jcm15103795 - 14 May 2026
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Abstract
Background/Objectives: Prominent ears, affecting approximately 5% of the population, can cause significant psychosocial distress without functional impairment. Methods: This retrospective single-center study evaluated a cartilage-cutting otoplasty technique augmented by three triangular fascioperichondrial flaps in 40 patients (80 ears), aged 6–37 years [...] Read more.
Background/Objectives: Prominent ears, affecting approximately 5% of the population, can cause significant psychosocial distress without functional impairment. Methods: This retrospective single-center study evaluated a cartilage-cutting otoplasty technique augmented by three triangular fascioperichondrial flaps in 40 patients (80 ears), aged 6–37 years (mean age: 13 years), treated between 2022 and 2024 at Târgu Mureș County Emergency Hospital. Results: Preoperative helical–mastoid distances (HMD) were elevated, superior: 21 mm, middle: 22 mm, inferior: 21 mm; concho-mastoid angle (CMA) averaged ~50°. Surgery involved postauricular skin excision, selective conchal cartilage resection, and flap fixation to the mastoid periosteum for stabilization. Measurements at immediate postoperative and 6-week follow-up showed significant reductions: superior HMD by 10 mm (immediate) and 9 mm (6 weeks), middle by 9 mm and 8 mm, inferior by 4 mm and 4 mm, CMA by 27° and 26° (all p < 0.001). Stability between postoperative and 6-week intervals was confirmed by ANOVA (no significant differences). Patient satisfaction was excellent: 75% very satisfied and 22% satisfied (97% overall positive), with no correlation with age or sex. Conclusions: This hybrid approach offers reliable correction, natural contours, and low postoperative complications, representing a feasible option in otoplasty. Longer-term prospective trials are recommended. Full article
(This article belongs to the Special Issue Plastic and Reconstructive Surgery of the Face: Chances and Challenges)
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12 pages, 1755 KB  
Article
From Contouring to Rejuvenation: A Nationwide Big-Data Analysis of Hyaluronic Acid Injection Trends in Japan
by Taichi Tamura, Takahiko Tamura, Kohki Okumura and Hiroo Teranishi
J. Clin. Med. 2026, 15(2), 893; https://doi.org/10.3390/jcm15020893 - 22 Jan 2026
Viewed by 1307
Abstract
Background: Hyaluronic acid (HA) injections have become a cornerstone of minimally invasive aesthetic medicine. While the demand for these procedures continues to grow globally, large-scale longitudinal analyses of patient demographics and specific injection site trends remain limited, particularly in Asian populations. Existing [...] Read more.
Background: Hyaluronic acid (HA) injections have become a cornerstone of minimally invasive aesthetic medicine. While the demand for these procedures continues to grow globally, large-scale longitudinal analyses of patient demographics and specific injection site trends remain limited, particularly in Asian populations. Existing data in Japan are largely confined to aggregate procedure numbers. This study aimed to elucidate the transition in patient demographics and site-specific treatment trends using a nationwide big-data approach. Methods: This retrospective study analyzed 299,413 treatment sessions (417,590 injection sites) from patients who underwent facial HA injections at 110 clinics across Japan between October 2020 and December 2024. Data were analyzed by year, patient age, and injection site to evaluate demographic shifts and treatment patterns. Results: The annual number of treatment sessions increased steadily during the study period. A significant demographic shift was observed: while patients in their 20s were predominant in 2020–2022, the proportion of patients aged ≥ 40 years increased markedly from 2023 onward, accounting for more than half of all cases (63.7% in 2024). Treatment preferences varied distinctly by age; younger patients favored localized contouring (e.g., pretarsal fullness, chin), whereas older patients required multi-site rejuvenation. By 2024, the orbital rim became the most frequently treated site (22.6%). Statistical analysis confirmed that age was a significant predictor for multi-site treatments (p < 0.001). Conclusions: This large-scale analysis reveals a clear transition in the Japanese aesthetic market from contour enhancement in younger demographics to anatomy-based rejuvenation in middle-aged and older populations. Full article
(This article belongs to the Special Issue Plastic and Reconstructive Surgery of the Face: Chances and Challenges)
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